Precision Reprographics As a full-time employee regularly working 30 or more hours per week, you and your qualified dependents are eligible for group medical, dental and vision insurance. You are eligible to participate in the Precision Reprographics benefits program on the first day of the month that follows 60 days of continuous employment. It is your responsibility to enroll in and manage your benefits program.
Benefit Election Form | Employee Acknowledgement of Receipt of SPD
Wrap Summary Plan Description | Wrap Plan Document | Premium Conversion Plan
Precision Reprographics contributes 100% towards the Employee Only plan for the HMO HSA B9E1ADT medical plan. Employees are responsible for the difference in selecting the HMO copay plan, the PPO HSA plan, or the PPO copay plan and for 100% of any dependent cost for any plan. Precision Reprographics offers dental and vision coverage for employees and their qualified dependents at the employee’s expense.
The employee portion of the costs is included below for policy period September 1, 2024 to August 31, 2025.
| Semi-Monthly Cost | Medical | Voluntary Dental | Voluntary Vision | |||
| PPO Copay S663CHC | PPO HSA B660CHC | HMO Copay S9J7ADT | HMO HSA B9E1ADT | |||
| Employee Only | $155.61 | $114.30 | $30.96 | $0.00 | $17.00 | $4.85 |
| Employee & Spouse | $496.26 | $413.64 | $246.96 | $185.05 | $33.99 | $9.22 |
| Employee & Child(ren) | $496.26 | $413.64 | $246.96 | $185.05 | $41.64 | $9.71 |
| Employee & Family | $836.91 | $712.99 | $462.97 | $370.10 | $67.13 | $14.27 |
You must enroll prior to the effective date, and you are responsible to enroll and manage your benefit selections. Complete the Enrollment Form above and forward to Human Resources.
Details of each plan are contained in various insurance contracts and other legal documents. In the event of a conflict between information contained here and the contracts and plan documents, the contracts and plan documents prevail.
Precision Reprographics offers medical coverage with BlueCross BlueShield of Texas and offers multiple plan options. To review the plans please click the links below. Employees electing the HDHP/HSA plan must complete an HSA enrollment form in order to contribute to their HSA account.
BCBS Medical Benefit Summary
PPO Copay S663CHC | PPO HSA B660CHC | HMO Copay S9J7ADT | HMO HSA B9E1ADT
BCBS Certificate of Coverage
PPO Copay S663CHC | PPO HSA B660CHC | HMO Copay S9J7ADT | HMO HSA B9E1ADT
Group Number: 372620 Please have your Group Number & Identification Number available when contacting the insurance carrier.
Blue Access for Members Virtual Tour | Go Mobile with the BCBSTX App
Use the mobile app to access provider finder, get your ID card, view benefits and claims.
Claims & Customer Service: 1.800.521.2227 | Making Your Insurance Work For You | Provider Network | PPO & HMO Provider Finder Instructions | Sanitas Medical Centers
Wellness Services | Wellness Site | Blue Points Reward Program | Member Rewards | Fitness Program | Behavioral Health | Blue365
BCBS Claims Online | BCBS Rx Claims | Preferred Pharmacy Network | Express Scripts Mail Order Pharmacy | Rx Formulary | Downloadable Forms
Blue Cross Blue Shield PPO FAQs
Refer to your Combined Evidence of Coverage and Disclosure Form or Plan Agreement for a more detailed listing of benefits and coverage, including exclusions, limitations and conditions applicable.
Health Savings Accounts are savings accounts that allow employees to pay for qualified out-of-pocket medical, dental and vision expenses using pre-tax dollars. The funds in the HSA belong to the employee and the employee can spend their funds as they wish. The funds may be used tax-free to pay any eligible expense incurred by the employee and their immediate family members. To contribute to an HSA, the employee must enroll in a qualified High Deductible Health Plan (HDHP).
You will need to establish an HSA account to receive employer contributions and make employee contributions through payroll. For expenses to be eligible for reimbursement from an HSA, the account must be open before incurring the expense. You may have additional HSA accounts, and you may elect to transfer funds to other HSA accounts with additional investment options.
Employees may contribute funds through payroll deductions to their Health Savings Accounts, and you may change the contribution amount at any time. Since the contributions are tax-free, the IRS establishes annual maximum contributions limits which are the annual limits for combined employer and employee contributions. Key HSA Features
Enrolling in benefits for the first time or becoming eligible for Medicare creates partial-year eligibility HSA contribution questions. HSA Contributions and Partial-Year Eligibility | HSA & MedicareInvestment Options / Income Tax Regulations / Eligible Expenses / Medicare and HSA's
Precision Reprographics offers dental coverage through BlueCross BlueShield of Texas. Your dentist office will need the social security number of the insured employee to access benefits. To review the plan please click the link below.
Group Number: 0366942 Please have your Group Number & Identification Number available when contacting the insurance carrier.
Member Services: 1.800.521.2227 | Provider Finder
Precision Reprographics offers vision coverage through BlueCross BlueShield of Texas. Your vision provider will need the social security number of the employee and the group number to access benefits. To review the plan please click the link below.
BCBS Vision Certificate of Coverage
Group Number: VGFY72620 Please have your Group Number & Identification Number available when contacting the insurance carrier.
Customer Service: 855.556.8796 | Vision Benefit Information & Resources | Vision Benefit App - Powered by EyeMed
The following is a compilation of various required federal compliance notices which are to be provided to employees. If you have questions or need a copy of a specific notice, please contact your Human Resources administrator. If any conflicts between the plan documents and the information provided exist, the plan document language is to be relied upon.
The information and notices are provided in the following order:
New Hires / Upon Eligibility for Health Plan*Documents Included in Wrap Summary Plan
Upon Coverage Termination General
